NPI | 1699301812 |
---|---|
Former Name | CATHERINE PENDLETON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA 225797) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: LA 39) |
Enumeration Date | 2020-03-19 |
Last Update Date | 2022-07-20 |